Case of Fatal Meningoencephalitis following Accidental Near Drowning
Introduction: Central Nervous System infections are the most common cause of mortality and morbidity in developing countries. We are reporting a rare case of neuroinfection following drowning. Case description: Fourteen-year-old boy with a history of near drowning was initially treated for respirato...
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| Format: | Article |
| Language: | English |
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Jaypee Brothers Medical Publisher
2023-06-01
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| Series: | Pediatric Infectious Disease |
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| Online Access: | https://www.pidjournal.com/doi/PID/pdf/10.5005/jp-journals-10081-1379 |
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| author | Vykuntaraju K Gowda Chetan Kerur Alkarani Patil Sanjay K Shivappa |
| author_facet | Vykuntaraju K Gowda Chetan Kerur Alkarani Patil Sanjay K Shivappa |
| author_sort | Vykuntaraju K Gowda |
| collection | DOAJ |
| description | Introduction: Central Nervous System infections are the most common cause of mortality and morbidity in developing countries. We are reporting a rare case of neuroinfection following drowning.
Case description: Fourteen-year-old boy with a history of near drowning was initially treated for respiratory distress requiring mechanical ventilation and a right femur fracture. He was all right for 15 days at home later he developed a fever and weakness in his left lower and upper limbs. MRI of the brain showed a mass lesion with vasogenic edema requiring decompression craniotomy. Brain biopsy during decompressive craniectomy showed granulomatous inflammation composed of sheets of histiocytes, lymphocytes, and many foreign body giant cells. PAS and GMS stains highlight fungal hyphae/pseudohyphae.
Conclusion: Fungal meningoencephalitis should be considered in case of neuro infection following near drowning in addition to bacterial infections and should be treated urgently. |
| format | Article |
| id | doaj-art-61c361d23c7149d1bb75c84487db32b4 |
| institution | Kabale University |
| issn | 2582-4988 |
| language | English |
| publishDate | 2023-06-01 |
| publisher | Jaypee Brothers Medical Publisher |
| record_format | Article |
| series | Pediatric Infectious Disease |
| spelling | doaj-art-61c361d23c7149d1bb75c84487db32b42025-08-20T03:39:15ZengJaypee Brothers Medical PublisherPediatric Infectious Disease2582-49882023-06-0152565710.5005/jp-journals-10081-13796Case of Fatal Meningoencephalitis following Accidental Near DrowningVykuntaraju K Gowda0https://orcid.org/0000-0001-7244-0492Chetan Kerur1Alkarani Patil2Sanjay K Shivappa3Vykuntaraju K Gowda, Department of Pediatric Medicine, Indira Gandhi Institute of Child Health, Bengaluru, Karnataka, India, Phone: +91 9535212556Department of Pediatric Medicine, Indira Gandhi Institute of Child Health, Bengaluru, Karnataka, IndiaDepartment of Pediatric Medicine, Indira Gandhi Institute of Child Health, Bengaluru, Karnataka, IndiaDepartment of Pediatric Medicine, Indira Gandhi Institute of Child Health, Bengaluru, Karnataka, IndiaIntroduction: Central Nervous System infections are the most common cause of mortality and morbidity in developing countries. We are reporting a rare case of neuroinfection following drowning. Case description: Fourteen-year-old boy with a history of near drowning was initially treated for respiratory distress requiring mechanical ventilation and a right femur fracture. He was all right for 15 days at home later he developed a fever and weakness in his left lower and upper limbs. MRI of the brain showed a mass lesion with vasogenic edema requiring decompression craniotomy. Brain biopsy during decompressive craniectomy showed granulomatous inflammation composed of sheets of histiocytes, lymphocytes, and many foreign body giant cells. PAS and GMS stains highlight fungal hyphae/pseudohyphae. Conclusion: Fungal meningoencephalitis should be considered in case of neuro infection following near drowning in addition to bacterial infections and should be treated urgently.https://www.pidjournal.com/doi/PID/pdf/10.5005/jp-journals-10081-1379fungal meningoencephalitisnear drowningtraumatic brain injury |
| spellingShingle | Vykuntaraju K Gowda Chetan Kerur Alkarani Patil Sanjay K Shivappa Case of Fatal Meningoencephalitis following Accidental Near Drowning Pediatric Infectious Disease fungal meningoencephalitis near drowning traumatic brain injury |
| title | Case of Fatal Meningoencephalitis following Accidental Near Drowning |
| title_full | Case of Fatal Meningoencephalitis following Accidental Near Drowning |
| title_fullStr | Case of Fatal Meningoencephalitis following Accidental Near Drowning |
| title_full_unstemmed | Case of Fatal Meningoencephalitis following Accidental Near Drowning |
| title_short | Case of Fatal Meningoencephalitis following Accidental Near Drowning |
| title_sort | case of fatal meningoencephalitis following accidental near drowning |
| topic | fungal meningoencephalitis near drowning traumatic brain injury |
| url | https://www.pidjournal.com/doi/PID/pdf/10.5005/jp-journals-10081-1379 |
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